Frequently Asked Questions About Medicare
The time to sign up for Medicare is here, and you’ve realized just how many questions you have. Don’t worry. You’re not alone. Thousands of people enroll in Medicare every year, and just like you, they often find themselves lost and not quite sure about which steps to take next, what parts they need, or how to even enroll in Medicare in the first place.
That’s why Delta Benefits Group exists. Every year, we help Medicare-eligible people understand their benefits, choose the right plans, and enroll. We know the system can be frustrating, ever-changing, and confusing! Our job is to help you choose the right plan for you, making sure you’re taken care of on the insurance front. Our expert Medicare counselors have compiled this frequently-asked-questions page to help you answer any initial questions you may have. We’ve also written numerous blogs and filmed several videos on Medicare to serve as resources for you.
If you want to speak to a human, have more questions, or want to enroll in Medicare, please give us a call at (901) 460-7220, or fill out our convenient online form, and we’ll reach back out to you to set up a free consultation.
Are Medicare Supplement Plans Worth It?
Depending on your specific situation, enrolling in Medicare supplemental plans may be worth it, giving you more financial freedom, choice of doctors, lower out-of-pocket costs, a narrower gap in your coverage, etc. A Medicare consultant can review supplement options with you to decide what works best for you. Delta Benefits Group consultations are always free. Call us at (901) 460-7220 to talk to a Medicare insurance representative about your plan.
How Much Will Medicare Cost in 2022?
Medicare costs change from year to year. The numbers for 2022 have been confirmed and reported. Please read our 2022 cost update blog here for more information. For yearly Medicare updates, be sure to sign up for our email newsletter. Delta Benefits Group hosts seminars regularly to discuss any changes in Medicare that our clients need to know about. Sign up for the next online seminar here
Which Medicare Plan Covers Prescription Medications?
In most cases, Medicare Part D will cover your prescription drug costs. However, there are situations where Medicare Part A or B will cover your drug costs. If you’re not sure, give us a call.
How Does Medicare Work with Employer Insurance?
If you have Medicare as well as another insurance provider, each type of coverage is called a “payer,” and they can work together, depending on your needs. Coordination of benefits rules will decide which payer pays first. Once the primary payer has paid, the rest of the bill will go to the secondary payer. Depending on the size of your group, the specifics will vary.
What Is Medicare Advantage, and Do I Need It?
Medicare Advantage is also known as Medicare Part C. Learn more about Medicare Advantage or Part C here. Whether you should get Part C depends on your specific situation. If you believe you may need Part C, our Medicare consultants at Delta Benefits Group can walk you through your options for free.
What Happens If You Miss Your Initial Medicare Enrollment Period?
If you missed your initial enrollment period (IEP), you will likely have to enroll during the Special Enrollment Period (SEP) or the General Enrollment Period (GEP). GEP starts January 1 and ends March 31. If you sign up during GEP, your coverage will kick in on July 1.
Missing initial enrollment may result in penalties.
When Is Medicare Annual Enrollment?
Medicare annual enrollment starts October 15 and ends on December 7 every year. During this period, you can change your Medicare Advantage plan or supplemental coverage.
If you need help, call us at (901) 460-7220 to schedule an appointment during annual enrollment.
How Much Do Medicare Supplements Cost?
Depending on the type of Medigap coverage you need, Medicare supplement plan costs will vary. The supplement cost will range, depending on the plan you choose, your age, and the region in which you live. To get the best supplemental coverage for the best price, talk to one of our Medicare counselors today at (901) 460-7220.
How Much Does Medicare Part B Cost?
In 2022, the standard Part B premium is $170.10. If you receive benefits from Social Security, Railroad Retirement Board, or Office of Personnel Management, your Part B premium will be deducted from your benefits. If you do not receive these benefits, your premium costs will be sent to you in a bill. While most people will pay the monthly premium for Part B, you may have a higher premium based on your income. See chart below. For more information about Part B, click here to read our in-depth blog.
CMS' chart for Part B Premiums 2022
How Much Does Medicare Part A Cost?
If you or your spouse paid Medicare taxes for a specific period of time while working, you won’t pay for Medicare Part A. This is sometimes referred to as “Premium-Free Part A,” and most people do get this.
If you are not eligible for Premium-Free Part A, you can purchase it. Depending on how long you or your spouse paid Medicare taxes, you will pay $274 or $499 per month for year 2022. If you decide not to enroll in Part A, you can still enroll in Part B. For more information on the cost of Part A and qualifications of Premium-Free Part A, call us at (901) 460-7220 to speak to a Medicare representative about your specific situation. See our blog for more details on Part A cost.
What Costs Does Medicare Part A Cover?
Medicare Part A is known as “hospital insurance.” In general, Part A covers the following:
Skilled nursing facilities
Nursing home care* (in-patient care in a skilled nursing facility that is not categorized as custodial or long-term care)
Home health care
If you have questions about whether or not a specific service is covered through Medicare Part A, ask your doctor, healthcare provider, or our Medicare experts at Delta Benefits Group. For more information on Part A, check out our blog.
Can Medicare Pay for Assisted Living?
Original Medicare (Part A and B) does not cover the cost of assisted living or most types of long-term care, including Alzheimer’s or dementia care. However, some Medicare Advantage plans may help cover assisted living costs. Additionally, Medicare Advantage may offer other long-term care options under certain circumstances. Talk to a professional to discuss your long-term care options.
When Can I Enroll In Medicare?
There is a 7-month period, called the Initial Enrollment Period (IEP), when you can enroll in Medicare. This begins 3 months before the month of your 65th birthday, includes your birth month, and continues for 3 months following the month of your 65th birthday. Coverage will begin on the first day of the month you turn 65 years old. If you were born on the first day of the month, your coverage will begin on the first day of the month before your birth month.
There may be some special circumstances, including disability which allows 24 months for sign up. Your Medicare representative can help with these explanations.
How Do I Sign Up for Medicare?
While some people will automatically begin receiving benefits from Medicare Part A and B via Social Security, others will need to sign up for Medicare manually. If you are 65, or will be in three months, and not receiving Social Security, you will need to sign up for Part A and B benefits.
Additional Medicare benefits outside of Part A and B will need to be signed up for manually, as well. You can do this by contacting Delta Benefits Group at (901) 460-7220. A real human will walk you through your Medicare options, find a plan that works best for you and your budget, and get you enrolled in Medicare.
Here are some facts to be aware of concerning Medicare enrollment:
Some people will receive Medicare Part A and B automatically, but some people will not. You may need to actually sign up to begin your enrollment.
There are specific periods within the year when you can sign up or change your Medicare Advantage benefits (annual enrollment begins October 15 and ends December 7).
Sign up for Medicare Part B when you first become eligible to avoid any penalties
You can design your own Medicare coverage based on what works best for you, your health, and your budget; a medicare consultant near you can help you do this for free.
You may be eligible to get support with Medicare costs. Call Delta Benefits Group to see if you qualify.
Our expert medicare representatives can help you sign up for benefits if you’re eligible today. We can also set a date to help you enroll in Medicare for when you are eligible. Call us to set an appointment.
What Is the 'Donut Hole' in Medicare?
Medicare Part D plans have a gap in coverage referred to as the “donut hole.” Not everyone will enter the donut hole, but, if your total drug costs reach a certain limit, you may. The limit includes what you and Medicare pay for your total drug cost. In 2021, that limit is set at $4,130. When you reach this mark, thereafter, you will be responsible for paying a percentage of your drug costs.
For more about the Medicare donut hole, 2021 updates, and how to get out of this phase, give us a call at (901) 460-7220. Additionally, read our blog on the Donut Hole here.
What Is Medicare Part D?
Medicare Part D covers most outpatient prescription drugs. Private companies, approved by Medicare, offer Part D as a standalone plan, for members signed up for original Medicare, or as benefits included in your Medicare Advantage plan.
Every Part D plan will have a list of drugs, including most in-office vaccines not within Part B, covered under its benefits called a formulary. Learn more about Medicare Part D by clicking here.
Is Delta Benefits Group an Insurance Company?
No, Delta Benefits Group is not an insurance provider. We are Medicare consulting specialists in Memphis, licensed across the United States, that connect our clients with the right insurance providers based on their needs and budget. We have access to all insurance providers, giving us the ability to ensure you get the best plans for the best prices every year. Do you need help finding the right insurance provider? Give us a call at (901) 460-7220 to talk to an actual person, not a machine.
What Is Medicare Part C?
Medicare Part C is also known as “Medicare Advantage” and is offered by private, Medicare-approved insurance companies. A Medicare Advantage plan offers you the benefits covered by Part A and Part B, plus more, depending on your insurance needs. You may also have extra coverage outside of Parts A and B, including vision, hearing, dental, etc.
In most cases, Medicare Advantage plans have a zero premium. While Medicare-approved insurance companies must adhere to rules established by Medicare, certain out-of-pocket costs and rules may fluctuate depending on the insurance company you choose. Rules and costs can change from year to year. We at Delta Benefits Group ensure that our clients get the best coverage that works for them every year. For more information on Part C, click here.
What Is Medicare Part B?
Medicare Part B, also known as “medical insurance,” covers three types of services:
Medically Necessary Out-Patient Services - A service will be determined as “medically necessary” if it is needed to effectively diagnose and treat a health condition. Some medically necessary services include doctor office visits
Durable Medical Equipment - This includes wheelchairs, crutches, home hospital beds, diabetic supplies, etc.
Preventive Services - Services that help prevent illnesses, like the flu, or detect illnesses at earlier stages, when treatment is most likely to be more effective.
Part B includes medical services, like doctors’ services, outpatient care, occupational therapy, etc. Learn more about Part B coverage by clicking here.
What Is Medicare Part A?
Medicare Part A is also known as “hospital insurance” and covers anything regarding in-patient hospital care, including hospital stays, surgery, skilled nursing facilities, hospice care, lab tests, and home health care. Do you have more questions about Part A? See our detailed blog post here.
What States Do You Serve?
Delta Benefits Group helps people nationwide secure Medicare benefits. Whether you’re searching for a Medicare representative in Memphis, TN, or Dallas, Tx, or anywhere in the country, we can help you. As Medicare counselors, our services are always free.
How Much Do Your Medicare Consultant Services Cost?
Our Medicare services are free to you. We’re here to help you understand the ins and outs of Medicare and set up the best plan for you. There is never a charge for our services – the insurance companies pay us. Ready to get your Medicare questions answered or complete your enrollment? Call us now at (901) 460-7220. We’ve got real, live people ready to help you!